Basic Information
| Provider Information | |||||||||
| NPI: | 1124647979 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NIEHAUS | ||||||||
| FirstName: | HANNAH | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8708 BEDELL RD | ||||||||
| Address2: | |||||||||
| City: | BERLIN CENTER | ||||||||
| State: | OH | ||||||||
| PostalCode: | 444018710 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3305811749 | ||||||||
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| Practice Location | |||||||||
| Address1: | 20000 HARVARD AVE | ||||||||
| Address2: | |||||||||
| City: | WARRENSVILLE HEIGHTS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441226805 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2164916000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/12/2020 | ||||||||
| LastUpdateDate: | 04/12/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 04/12/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 58.031623 | OH | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.